Urinoma following prostatectomy

Case contributed by Chris O'Donnell
Diagnosis certain

Presentation

Recent prostatectomy with clear fluid leaking from the abdominal wound.

Patient Data

Age: 75 years
Gender: Male

Plain CT followed by CT...

ct

Plain CT followed by CT cystogram dilute contrast injected via the urethral catheter

Large fluid collections sitting in front of and behind the bladder.  The bladder is collapsed with a urethral catheter in situ (and balloon in lumen).   Contrast injected into the urethral catheter fills the bladder (extrinsically compressed by the collections) and leaks posteriorly into these collections via a defect in the prostatectomy cavity at the bladder base (thus these collections are urinomas).

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.